Ori Prereq 7 - RN

Room Readiness - Main Campus

• Consult the Room Readiness flyers in your room
• These show you what actions to take in an emergency specific to the room that you are in

Crash Carts & Defibrillators

• If you retrieve a crash cart, unplug it first
• The video below discusses our defibrillators (and internal paddle testing for those working on main campus)

OR Maps

Click an area below to view maps

Main ORCrash Carts

Main ORTrauma Carts

MCE South Crash Carts

MCE NorthCrash Cart

VHBMCrash Carts

VSCFCrash Cart

FELCrash Cart

WCSCCrash Cart

Proceed when you have viewed the map(s) of your work area

Main OR - Crash Carts

Main OR - Trauma Carts

MCE South Resources

MCE North Resources

Medical Center Drive

FEL Resources

OR 2

OR 3

OR 1

CN/Anes

Office

Lounge

Fire Extinguisher

Gas Shut-off

Fire Pull Station

Crash Cart

MH Cart

VHBM Resources

OR 7

OR 6

OR 5

OR 4

OR 3

Crash Cart

OR 2

Fire Extinguisher

Fire Pull Station

OR 1

MH Cart

VSCF Resources

Crash Cart

Fire Extinguisher

Fire Pull Station

OR 1

OR 2

OR 3

OR 4

MH Cart

WCSC Resources

Evacuation Route

Fire Extinguishers

Fire Pull Station

Crash Cart

Medical Emergencies

• AED Locations on Main Campus

• Not comprehensive — just the ones you will be near most often

Main Campus Emergency/Rapid Response:

• VUMC Landline: 1-1111
• Cell Phone: (615) 421-1111

Ambulatory Emergency:

• Any Phone: 911

Save this number in your phone!

Bins in the OR Suite

• Supply items that can be reprocessed (except tourniquets) should be put in the reprocessing bin

• Staplers are not reprocessed — wrap these in a table cover or drape and discard in regular trash
• Tourniquets are placed on the case cart for reprocessing
• Place reprocessing bins far away from anesthesia

Bins in the OR Suite

• Only sharps go in the bins for sharps
• No bins should overflow (get a replacement container)

Neptune Suction

TecSys Point of Use

• Appropriately allocating and charging of medical supplies affects healthcare costs, accounting for 30 to 40 percent of the total costs a hospital incurs
• TecSys Point of Use is a tracking and inventory system to help us:

• Control inventory costs
• Accurately capture charges for reimbursement
• Track inventory, improving the reordering process

• TecSys is accessed from the Intra-Op chart in eStar/Epic

TecSys Point of Use

Video duration: less than 18 minutes

Explants

• Documentation of explanted devices in eStar/Epic is critical to capture accurate data (important for warranty tracking, etc.)
• At the time of the explant surgery:

Document as much implant data as possible (from patient report/records or from StarPanel for past VUMC implants)

Implant in eStar/Epic

Implant NOT in eStar/Epic

• The circulator adds it via the Historical Implant section first

• Go to the Implant tab

• Initiate the Explant Existing function

StarPanel

• Items being explanted are not added to TecSys POU

If you entered the implant in the Historical Implants tab, the implant will be an option in the pop-up window after Explant Existing is clicked

VUMC2Go & Sectra

Sectra in eStar/Epic

• Find eStar Tip Sheets here (guides outlining common processes in eStar/Epic)

• Standalone application on the clinical workstation

Post-op Checklist

• Initiated by circulator just prior to closing counts or before primary surgeon leaves the room (it is the attending surgeon's responsibility to ensure this is completed)

Preparing for Transfer to PACU - Main Campus

• Remember to fill out the back side of the Face-to-Face Handoff Sheet
• Keep up with the Events in eStar/Epic to get a timely PACU slot

• NOTICE:(30) Minutes to Case End
• NOTICE:Ready for Recovery

OR-to-ICU Huddle - Main Campus

Circulator Responsibilities

Anesthesia Provider Responsibilities

• Notify Flow Charge Nurse of the need for a bed

• Makes Equipment Notification call at when wound is closed or anesthesia emergence (similar timing as requesting a PACU slot)
• Makes a Rolling call as the patient leaves the OR
• In addition to "Out of Room," the circulator must click "Perioperative Care Complete" in Events
• Click "All Events" in the Events dropdown to see this option

Dedicated ICU phone list available in all ORs

Chapter Complete!

Anesthesia and OR-to-ICU Huddle

• Anesthesia provider will full out Huddle sheets and communicate with circulator about anticipated ICU equipment needs (pressure cables, ventilator, etc.) to be communicated on Equipment Notification call
• Anesthesia remains present for ICU huddle at bedside

StarPanel

• StarPanel is accessed from the eStar Virtual Desktop
• To get data on an implant inStarPanel:

1. Login to StarPanel
2. Search by MRN
3. Go to Actions > OR Documents to see implant data

Anesthesia and OR-to-ICU Huddle

• Anesthesia provider will full out Huddle sheets and communicate with circulator about anticipated ICU equipment needs (pressure cables, ventilator, etc.) to be communicated on Equipment Notification call
• Anesthesia remains present for ICU huddle at bedside

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR

References

[Policy] Reprocessing of Devices and Single-Use Patient Care Items by a Third-Party Vendor

[Policy] Procurement of Supplies and Equipment

[SOP] Documenting of Implants

[Policy] Tissue Tracking, Storage, and Issuance

TecSys Point-of-Use Site

TecSys Glossary

Case Selection CDUI

Case Documentation User Interface (CDUI) - OR

Barcode Scanning Guide

Add On the Fly Item

OR Returns Process

OR Case Waste All

[VUMC2Go Tip Sheet] Documenting Intentionally Retained Foreign Objects (IRFO)

[VUMC2Go Tip Sheet] Documenting on a Deceased Patient - Perioperative

[SOP] Obtaining an ICU Room Assignment for VOR